Donor Information:
Name(s) __________________________________
Address___________________________________
City___________________State_____Zip_________
Day Phone______________Evening Phone__________
Email address________________________________
GIFT AMOUNT AND PURPOSE
Enclosed is my gift of $______ to support library services in Parma.
I would like to direct my gift to:
__ Where the need is greatest
__ Programs for Library Users
__ Books and materials
__ Other
MEMORIALS & TRIBUTES
This is a special gift:
__ In Memory of:
__________________________________________
__ In Honor of:
__________________________________________
GIFT PAYMENT
__ My check is enclosed payable to The Patricia Romanko Public Library
OTHER INFORMATION
__ Please keep my gift anonymous. I understand that I will not be included in donor listings or on the Donation Wall.
Please mail to:
The Patricia Romanko Public Library P.O. Box 309 Parma, Idaho 83660
(Telephone: 208 722-6605)
